Blog

Category Archives: Reed Centre of Transgender Surgery | Dr. Harold Reed | Miami

How large should a male to female transgender clitoris be

Dr. Reed, How large should a male to female transgender clitoris be.  I am concerned if the transgender surgeon doesn’t male it large enough I will not be fully orgasmic?  Wendy

Dear Wendy, please go on-line under images google and look at natal mature female clitoris pictures.  A normal clitoris is about 2/3rd the diameter of your pinky (5th finger).  In that a neo-clitoris of this size is capable of intense orgasm why put something there that looks like a juvenile penis  We have many before and after photos of our transgender female vulvas on our web-site srsMiami.com/vaginoplasty (scroll down) and what you see protruding under the hood in just the glans clitoris, the body goes back further than that, just as on a natal female.  The rest is up to you and your partner.

Cordially,

Harold M. Reed, M.D.
Reed Centre of Transgender Surgery | Dr. Harold Reed | Miami
1-305-865-2000
Example #2: Male to Female Transsexual Surgery Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.

Our transgender vaginoplasty patient (normal sized clitoris)
Example #6: Male to Female Transsexual Surgery Patient had 1 stage vaginoplasty in 2008 and returns for urethral meatus re-siting. Stream needs to be directed more downwards. Pleasing clitoral glans with hood and labia minora. 6/1

Our transgender vaginoplasty patient (normal sized clitoris)

6/2

Same patient with hood

new

How common is a urethral vaginal fistula

Dr. Reed, How common is a urethral vaginal fistula and how would you propose management?  Karen Dear Karen, The underside of the urethra is the pathway that leads to the pelvic space which is retro-prostatic and retro-vesical. That is behind the prostate and bladder.  It is possible that during development of the space the urethra…Continue Reading

Transgender orchiectomy before vaginoplasty

Dr. Reed, Will transgender orchiectomy before vaginoplasty lessen my likelihood to achieve a good vaginal depth result later on using the penile skin inversion technique?  How much is orchiectomy? Sandra Dear Sandra, In my opinion and experience, orchiectomy has no effect on using scrotal skin as an extension to inverted penile skin.  Doctors who use…Continue Reading

Transgender male to female vagina function

Dr. Reed,  How does my male to female transgender vagina function?  Karen Dear Karen, Most male to female transgender patients anticipate sexual relations and being orgasmic. For that you need sufficient depth and preservation of the neurovascular bundle and a well formed neo-clitoris with glans (head of the clitoris) and body.  Anticipate some vaginal moisture which may…Continue Reading

If I have an orchiectomy now, will I have enough scrotal skin for MTF vaginoplasty

Dr. Reed, If I have an orchiectomy now, will I have enough scrotal skin for MTF vaginoplasty?  I am sort of stuck between the wish to remove the testes and lose some of the sagging scrotal skin but would like to be assured, a few years later I will still have enough skin for a deep vagina. …Continue Reading

Had MTF vaginoplasty and my clitoris doesn’t look right

Dr. Reed,  Had a vaginoplasty somewhere else and my clitoris doesn’t look right.  Can you do a clitoroplasty?  My urinary stream is seldom going down and is variable at best.  Have to lean forwards to avoid accidents. Almerinda Dear Almerinda, We do vaginoplasty revision every month.  A clitoris of course should be sensate and provide…Continue Reading

Transgender orchiectomy cost

Dr. Reed, What is the cost for transgender orchiectomy.  My therapist has recommended you.  How long do I have to stay?  Miribal Dear Miribal,  Our fee for transgender orchiectomy is $2,500 and that includes surgery, local anesthesia with IV sedation, use of the facility and any followup care we provide.  We ask that you stay…Continue Reading

Had male to female vaginoplasty and only 2″ of depth. Help, please. Myra

Dr. Reed,  Had a male to female vaginoplasty 2 years ago and now my depth is only 2 inches.  Myra Dear Myra, We do male to female vaginoplasty revisions for vaginal depth several times a year.  If you had reasonably good depth after your surgery, but did not dilate a few times a day, or…Continue Reading

Male to Female Transgender insurance The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami

Dr. Reed, Please advise which transgender insurance program will you accept that covers male to female transgender surgery? Will I be orgasmic and look natural?  We spoke over the phone about 6 months ago. Natalie Dear Natalie,  While we are not contracted providers with any insurance company, if your insurance company pays for hospitalization and anesthesia…Continue Reading